地塞米松联合高压氧治疗突聋患者的临床效果及对听力的影响  被引量:2

Clinical effect of dexamethasone combined with hyperbaric oxygen in the treatment of patients with sudden deafness and its influence on hearing

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作  者:李仲[1] 张慧[1] 王言言 汤建芬[1] 宋云韬 耿曼英[1] LI Zhong;ZHANG Hui;WANG Yanyan;TANG Jianfen;SONG Yuntao;GENG Manying(Otolaryngology Head and Neck Surgery Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区:[1]郑州大学第二附属医院耳鼻咽喉头颈外科,河南郑州450000

出  处:《临床医学研究与实践》2021年第12期110-112,共3页Clinical Research and Practice

摘  要:目的分析地塞米松联合高压氧治疗突聋患者的临床效果及对听力的影响。方法选取我院2018年3月至2020年3月收治的86例突聋患者作为研究对象,依据治疗方法将其分为对照组与研究组,各43例。对照组给予地塞米松治疗,研究组在对照组的基础上给予高压氧治疗。比较两组患者治疗前、后的血液流变学指标、听力阈值及临床疗效。结果治疗后,两组的PV、RCAI、FIB水平均降低,且研究组低于对照组(P<0.05)。治疗后,两组的1、2、4 kHz听力阈值均降低,且研究组低于对照组(P<0.05)。研究组的治疗总有效率高于对照组(P<0.05)。结论地塞米松联合高压氧治疗突聋的效果显著,可改善患者的血液流变学指标与听力功能,值得临床推广应用。Objective To analyze the clinical effect of dexamethasone combined with hyperbaric oxygen in the treatment of patients with sudden deafness and its influence on hearing.Methods A total of 86 patients with sudden deafness admitted in our hospital from March 2018 to March 2020 were selected as the research objects,and the patients were divided into control group and study group according to the treatment methods,with 43 cases in each group.The control group was treated with dexamethasone,and the study group was treated with hyperbaric oxygen on the basis of the control group.Hemorheological indexes,hearing threshold before and after treatment and clinical efficacy were compared between the two groups.Results After treatment,PV,RCAI,FIB level in the two groups decreased,and those in the study group were lower than the control group(P<0.05).After treatment,the 1,2,4 kHz hearing thresholds in the two groups decreased,and those in the study group were lower than the control group(P<0.05).The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).Conclusion Dexamethasone combined with hyperbaric oxygen in the treatment of sudden deafness has significant effect,it can improve the hemorheological indexes and hearing function of patients,which is worthy of clinical promotion and application.

关 键 词:突聋 地塞米松 高压氧 听力功能 

分 类 号:R764.437[医药卫生—耳鼻咽喉科]

 

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